Keanu Irene Hackley
Keanu Irene Hackley is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
204 E Market St # ALouisville, KY 40202-1218
Phone: (502) 588-4340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1164188090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 15, 2021 |
| Last updated in NPPES | November 15, 2021 |
| Certification date | November 15, 2021 |
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